Mortality of surgically treated 80-year-old or older intracranial meningioma patients in comparison to matched general population

Abstract Population aging is likely increasing the number of surgically treated very old (≥ 80–year-old) intracranial meningioma (IM) patients. Since there is little data on mortality in this patient group, we studied whether survival of surgically treated very old IM patients differs from survival...

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Autores principales:	Ilari Rautalin, Christoph Schwartz, Mika Niemelä, Miikka Korja
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/39a70717c0244774b9205f5b34399cdc
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spelling	oai:doaj.org-article:39a70717c0244774b9205f5b34399cdc2021-12-02T15:02:49ZMortality of surgically treated 80-year-old or older intracranial meningioma patients in comparison to matched general population10.1038/s41598-021-90842-y2045-2322https://doaj.org/article/39a70717c0244774b9205f5b34399cdc2021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-90842-yhttps://doaj.org/toc/2045-2322Abstract Population aging is likely increasing the number of surgically treated very old (≥ 80–year-old) intracranial meningioma (IM) patients. Since there is little data on mortality in this patient group, we studied whether survival of surgically treated very old IM patients differs from survival of a matched general population. We retrospectively identified 83 consecutive very old IM patients (median age 83 years; 69% women) operated between 2010 and 2018. During the first postoperative year, operated IM patients suffered 2.5 times higher mortality as compared to age- and sex-matched general population but no annual survival difference occurred thereafter. Regarding cumulative estimates, no excess mortality was detected after the second postoperative year. Of the patient who were and who were not able to live at home preoperatively, 78% and 42% lived at home within 3 months, respectively. Preoperative loss of capability to live at home associated with a less frequent return to home [odds ratio (95% confidence interval) 0.21 (0.06–0.67)]. Operated very old IM patients had short-term excess mortality but similar cumulative survival as the matched general population. Moreover, most patients returned home soon after surgery.Ilari RautalinChristoph SchwartzMika NiemeläMiikka KorjaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ilari Rautalin Christoph Schwartz Mika Niemelä Miikka Korja Mortality of surgically treated 80-year-old or older intracranial meningioma patients in comparison to matched general population
description	Abstract Population aging is likely increasing the number of surgically treated very old (≥ 80–year-old) intracranial meningioma (IM) patients. Since there is little data on mortality in this patient group, we studied whether survival of surgically treated very old IM patients differs from survival of a matched general population. We retrospectively identified 83 consecutive very old IM patients (median age 83 years; 69% women) operated between 2010 and 2018. During the first postoperative year, operated IM patients suffered 2.5 times higher mortality as compared to age- and sex-matched general population but no annual survival difference occurred thereafter. Regarding cumulative estimates, no excess mortality was detected after the second postoperative year. Of the patient who were and who were not able to live at home preoperatively, 78% and 42% lived at home within 3 months, respectively. Preoperative loss of capability to live at home associated with a less frequent return to home [odds ratio (95% confidence interval) 0.21 (0.06–0.67)]. Operated very old IM patients had short-term excess mortality but similar cumulative survival as the matched general population. Moreover, most patients returned home soon after surgery.
format	article
author	Ilari Rautalin Christoph Schwartz Mika Niemelä Miikka Korja
author_facet	Ilari Rautalin Christoph Schwartz Mika Niemelä Miikka Korja
author_sort	Ilari Rautalin
title	Mortality of surgically treated 80-year-old or older intracranial meningioma patients in comparison to matched general population
title_short	Mortality of surgically treated 80-year-old or older intracranial meningioma patients in comparison to matched general population
title_full	Mortality of surgically treated 80-year-old or older intracranial meningioma patients in comparison to matched general population
title_fullStr	Mortality of surgically treated 80-year-old or older intracranial meningioma patients in comparison to matched general population
title_full_unstemmed	Mortality of surgically treated 80-year-old or older intracranial meningioma patients in comparison to matched general population
title_sort	mortality of surgically treated 80-year-old or older intracranial meningioma patients in comparison to matched general population
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/39a70717c0244774b9205f5b34399cdc
work_keys_str_mv	AT ilarirautalin mortalityofsurgicallytreated80yearoldorolderintracranialmeningiomapatientsincomparisontomatchedgeneralpopulation AT christophschwartz mortalityofsurgicallytreated80yearoldorolderintracranialmeningiomapatientsincomparisontomatchedgeneralpopulation AT mikaniemela mortalityofsurgicallytreated80yearoldorolderintracranialmeningiomapatientsincomparisontomatchedgeneralpopulation AT miikkakorja mortalityofsurgicallytreated80yearoldorolderintracranialmeningiomapatientsincomparisontomatchedgeneralpopulation
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Mortality of surgically treated 80-year-old or older intracranial meningioma patients in comparison to matched general population

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